NPI 1316830102
Tadesse Melka Mojo
Practice location
- Address
- 7980 SW Greenhouse Ln, Portland, OR 97225-3868
- Phone
- (971) 224-9404
Registered specialties (3)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Physical Disabilities Residential Treatment Facility
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Registry record
- NPI
- 1316830102
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 May 2025
- Record last updated
- 8 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.